Balasubramanian Sowmya, Tacy Theresa A
Lucile Packard Children's Hospital, Stanford University Medical Center, Stanford, CA, USA.
Cardiovasc Eng Technol. 2013 Sep;4(3):276-285. doi: 10.1007/s13239-013-0132-z. Epub 2013 Mar 5.
Advances in fetal cardiac imaging have resulted in changes in the practice of fetal cardiology, and in improved neonatal outcomes for these patients. As the anatomic diagnostic accuracy of fetal cardiology has improved, cardiologists have sought new challenges in fetal imaging, and with new emphasis on improved front line detection, treatment/intervention during fetal life, and assessment of fetal ventricular function and cardiovascular performance. The evolution of noninvasive assessment of fetal cardiac function is related to technologic advances in ultrasound imaging. This article reviews conventional methods of the assessment of cardiac function, as well as some promising directions for future evaluation with emphasis on future applications of 3D echocardiography and 3D speckle tracking echocardiography.
胎儿心脏成像技术的进步已经改变了胎儿心脏病学的诊疗实践，并改善了这些患者的新生儿预后。随着胎儿心脏病学解剖诊断准确性的提高，心脏病专家在胎儿成像方面寻求新的挑战，并且重新强调在胎儿期进行更有效的一线检测、治疗/干预，以及评估胎儿心室功能和心血管性能。胎儿心功能无创评估的发展与超声成像技术的进步有关。本文回顾了心功能评估的传统方法，以及一些未来评估的有前景的方向，重点是三维超声心动图和三维斑点追踪超声心动图的未来应用。
